Individual provider Active NPI

Kellsey Ann Buerge, DPT

  • Physical Medicine & Rehabilitation Physician
  • Margaretville, NY
National Provider Identifier
1194306308
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
047000 Issued in NY
Practice address
Margaretville Hospital 42084 Route 28
Margaretville, NY 12455
Phone
(845) 586-2631
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 047000 NY Primary

Addresses

Primary practice location

Margaretville Hospital 42084 Route 28
Margaretville, NY 12455

Mailing address

Seco Physical Therapy 26 Conkey Ave
5TH Floor Suite 136
Norwich, NY 13815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
047000NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Seco Physical & Occupational Therapy PLLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

26 Conkey Ave
Ste 136
Norwich, NY 13815
Phone (607) 334-5010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1194306308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SECO PHYSICAL THERAPY 26 CONKEY AVE",
            "address_2": "5TH FLOOR SUITE 136",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "13815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGARETVILLE HOSPITAL 42084 ROUTE 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "12455",
            "telephone_number": "845-586-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERGE",
        "first_name": "KELLSEY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margaretville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.